TABLE 4.

Physical therapy interventions: Inpatient rehabilitation.

	Interventions	Comments
Admission	None performed	Patient admitted to inpatient rehabilitation
Day 1	Initial evaluation; transfer training, ambulation 50′ × 2 with rolling walker and contact guard assist
Day 2	Transfer training; ambulation 100′ × 4 with rolling walker and contact guard assist; long-arc quad × 15 bilaterally with 6 lbs; clamshell × 15 bilaterally; mini-squats × 15 in parallel bars
Day 3	Transfer training; wheelchair mobility × 50′; ambulation 100′ with rolling walker and contact guard assist; NuStep × 10 min	Decreased treatment time due to patient complaints of dizziness during treatment session
Day 4	Transfer training; ambulation 100′ with rolling walker, contact guard assist, and verbal cues; ambulation 20′ with minimum assist to facilitate neuromuscular re-education of bilateral lower extremities to increase dorsiflexion bilaterally, increase heel strike bilaterally, and control hip rotation (lef > right)	Increased gait quality with multimodal cuing (verbal, tactile)
Day 5	Transfer training; ambulation 125′ with minimum assist to facilitate neuromuscular re-education for bilateral hip flexors; transcutaneous electric nerve stimulation (TENS) trial to lumbar region; stretching of bilateral hamstrings and hip rotators	Pain prior to TENS: 6/10
		Pain following TENS application: 3/10
Day 6	Transfer training; ambulation 60′ × 2 with stand-by assist and verbal cues to increase gait quality; hamstring stretch; gastrocnemius stretch; piriformis stretch; active dorsiflexion × 15; active eversion × 15; short-arc quad × 15; hip abduction/adduction × 15; all performed bilaterally	Significantly decreased endurance noted, evidenced by increase in gait deviations throughout treatment session
Day 7	None performed	Patient refused treatment, citing pain and fatigue
Day 8	Transfer training; wheelchair mobility × 50′; ambulation 150′ with rolling walker, contact guard assist, and verbal cues; hamstring stretch; gastrocnemius stretch; short arc quad × 20; hip abduction/adduction × 20; all performed bilaterally
Day 9	Transfer training; ambulation 150′ with rolling walker, contact guard assist, and verbal cues; patient education on energy conservation and safety	Improved ambulation pattern but continued to fatigue quickly
Day 10	Transfer training; ambulation 300′ × 2; NuStep × 10 min; clamshell × 20; long arc quad × 20; active dorsifiexion × 20; all performed bilaterally
Day 11	None performed
Day 12	Transfer training; ambulation 500′ × 1, 100′ × 2 with rolling walker and contact guard assist; parallel bars–backwards walking, side-stepping, braiding; hip abduction/adduction × 15; heel slides × 15; bridging × 10	Patient with improved endurance to treatment session
Day 13	Transfer training; ambulation 250′ × 2 with rolling walker and stand-by assist; NuStep × 10 min; UBE × 7 min; hip abduction/adduction × 20; heel slides × 20; bridging × 20
Day 14	Discharge evaluation; transfer training; ambulation 400′ (level surface) with rolling walker; ambulation 150′ (uneven surface) with rolling walker; stair training × 18 with minimum assist; patient education regarding home exercises program	Patient discharged home with rolling walker, rental wheelchair, bedside commode, and referral to outpatient physical therapy clinic